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ST3

Trauma & Orthopaedics ST3 Interview Question Bank

Trauma & Orthopaedic Surgery ST3 Interview Preparation Platform. With PrepSurg's Trauma & Orthopaedic Surgery ST3 Question Bank, walk into your T&O ST3 interview having already practised every station. The national T&O ST3…

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Included with enrolment

More than a question bank

Everything your enrolment includes.

Premium learning tools

Ask the tutor

Ask about any lesson and get a clear explanation with a short clinical example.

Live mock interviews

Get matched with another candidate and practise stations on a video call.

National study groups

Join candidates across the country to share tips and plan practice sessions.

Personal lesson notes

Write notes on each lesson and find them all again in your dashboard.

About this course

T&O ST3 interview preparation · 2027 recruitment

The 2027 Trauma & Orthopaedics ST3 Interview Revision Platform: Question Bank, Live Practice and Mocks with Other Candidates

Walk into your T&O ST3 interview having already practised every station.

Preparing for the 2027 national T&O ST3 interview? It's four 10-minute stations, each scored by two interviewers. Knowing the answer isn't enough: you have to say it clearly, in a structured way, against the clock. PrepSurg gives you worked stations to learn from, real people to practise with, and tutors to ask when you're stuck.

100+

worked stations across all four interview stations

  • Core questions plus harder stretch questions in every station
  • Key points and a spoken, first-person model answer
  • Scoring guides, common pitfalls and current guidance

The interview

The T&O ST3 interview format: four 10-minute stations

The interview is held online in a 60-minute slot. Each station lasts 10 minutes and is scored independently by two interviewers across set domains.

Commitment to Specialty

Previously the Portfolio station. Your motivation, development, leadership, organisation and academic work, presented with specific evidence.

Clinical

Two 5-minute scenarios from trauma or elective practice, often built around X-rays. Tests technical knowledge, decision-making and situational awareness.

Prioritisation

Several cases to put in order, typically as the on-call registrar planning a trauma list and deciding who to see first. Tests judgement under pressure.

Communication

A standalone station since 2024, built around a conversation with a patient. Tests how you gather and give information, as well as what you know.

How competitive is T&O ST3? In 2025, there were 684 applications for 150 posts, a competition ratio of about 4.6 to 1. Always check the current applicant handbook, person specification and timeline published by NHS England for your recruitment round.

2027 recruitment

T&O ST3 2027: what to expect and when

National T&O ST3 recruitment is run by NHS England's national recruitment office, with one application through Oriel for posts across England and Scotland. The 2027 timeline hasn't been published yet, but recent rounds give a reliable guide to when you'll need to be ready.

Applications

Usually November

The 2026 round opened on 20 November 2025, and the 2025 round on 14 November 2024.

Self-assessment

Verified in January

Your self-assessment scores are checked against your evidence, which in 2026 took place on 27–28 January.

Interviews

Late March or early April

Interviews ran online on 24–27 March 2026 and 1–4 April 2025.

Offers

Mid-April

Initial offers were released on 14 April in the 2026 round.

These are previous-round dates, not 2027 dates. Confirm the 2027 timeline, applicant handbook and person specification on the national T&O ST3 recruitment page and Oriel once they're published, as formats and dates can change.

The question bank

T&O ST3 interview question bank: 100+ worked stations

Every station follows the same structure, so you can learn the content and practise the delivery at the same time.

Varying difficulty

Core and stretch questions

Each station starts with the questions most panels ask, then pushes further with stretch questions for when the interviewer keeps going.

How to say it

Key points and model answers

A checklist of what to cover, plus a first-person model answer written to be spoken within the time allowed.

How it's marked

Scoring guides and pitfalls

What a high-scoring answer looks like against a weak one, and the mistakes that cost candidates marks.

Up to date

Built on current guidance

Answers reference current national guidance and the UK trials behind them, checked against their sources.

Browse every station in the course content

Practise with people, not just a question bank

T&O ST3 mock interviews, national study groups and Ask the tutor

Live mock interviews

Practise out loud under real timing

Get matched with another T&O ST3 candidate and run stations over video, taking turns as candidate and interviewer. Practise to 10-minute timing, with the station's scoring guide showing your partner exactly what to listen for.

Communication stations come with a role-player brief, so your partner knows how to play the patient, including the concern you need to draw out.

National study groups

Prepare alongside candidates from across the UK

Join a study group of T&O ST3 applicants. Compare how you'd answer a station, talk through the prioritisation lists you disagree on, and organise mocks with people at the same stage as you.

Ask the tutor

Stuck on a station? Ask a tutor

Send a question to a PrepSurg tutor directly from the station you're working on. Whether it's a guideline you're unsure of or why one answer scores higher than another, you'll get a clear answer.

Add your own notes to every station too, and build a revision sheet for the night before.

Try a sample

Sample T&O ST3 clinical station

This is the first question from one of the trauma stations. Answer it out loud before opening the panels.

A 19-year-old footballer is admitted with a closed tibial shaft fracture. At 23:00 his pain is escalating despite oral morphine, passive toe extension is very painful, his calf is tense and sensation in the first web space is reduced. His foot pulses are present.

What is going on, and what do you do immediately?

Key points
  • Acute compartment syndrome until proven otherwise; it's a clinical diagnosis
  • Present pulses don't reassure: loss of pulses is a late sign
  • Reduced first web space sensation points to the deep peroneal nerve and anterior compartment
  • Release all circumferential dressings to skin, elevate and re-evaluate within 30 minutes (BOAST)
  • Inform the consultant; once diagnosed, decompress immediately
Model answer

This is acute compartment syndrome until proven otherwise. He has pain out of proportion to the injury, pain on passive stretch, a tense calf and reduced sensation in the first web space, which points to the anterior compartment. His pulses are present, but that doesn't reassure me, because loss of pulses is a late sign.

I'd see him straight away, release the backslab and all dressings to skin, elevate the leg without raising it excessively above the heart, and re-evaluate within 30 minutes, as BOAST recommends. I'd tell my consultant and book an emergency theatre, because once the diagnosis is made, he needs immediate decompression.

Stretch question

He's sedated in intensive care instead. How would you monitor him?

Clinical signs are unreliable when sedated, so I'd use continuous compartment pressure monitoring. BOAST says a difference between diastolic and compartment pressure of less than 30 mmHg indicates increased risk, with the decision to decompress made by a consultant.

How to prepare

How to prepare for the T&O ST3 interview

1

Learn the stations

Work through the bank station by station. Cover the key points, then read the model answer and note what you'd say differently.

2

Talk them through

Take the hard ones to your study group, and ask a tutor when you need a definitive answer.

3

Practise out loud

Run live mocks under 10-minute timing, swapping between candidate and interviewer.

4

Sharpen before the day

Use your notes and mock feedback to build a revision sheet, then finish on the stretch questions.

T&O ST3 interview FAQs

When are the T&O ST3 2027 interviews?

The 2027 dates haven't been published yet. In recent rounds, interviews took place in late March or early April (24–27 March 2026; 1–4 April 2025), with applications opening in November. Check the national recruitment page for confirmed 2027 dates.

What is the T&O ST3 interview format?

An online interview with four 10-minute stations: Commitment to Specialty, Clinical (two 5-minute trauma or elective scenarios), Prioritisation and Communication. Two interviewers score each station independently.

How competitive is T&O ST3?

In 2025, there were 684 applications for 150 posts, a competition ratio of about 4.6 to 1.

Does the course cover all four interview stations?

Yes: Commitment to Specialty, Clinical (trauma and elective), Prioritisation and Communication, with over 100 worked stations in total. The full list is in the course content section below.

How are the model answers written?

Every question has a checklist of key points and a first-person model answer, written to be spoken within the time allowed. Commitment to Specialty answers use placeholders so you can drop in your own examples.

What are stretch questions?

Harder follow-up questions at the end of each station, for when the panel keeps pushing. They're the questions that separate good answers from excellent ones.

How do live mocks work?

You're matched with another candidate and take turns as candidate and interviewer over video. Each station includes a scoring guide, and communication stations include a role-player brief for your partner.

Is the content based on current guidance?

Yes. Answers reference current national guidance, such as BOAST, NICE and BOA standards, and the UK trials that shaped practice, and they're checked against their sources. Always check the latest NHS England recruitment documents for your round, as the interview format can change.

Course curriculum

5 topics · 116 lessons

01

Clinical - Trauma

40 lessons

Distal radius fracture in a 75-year-old
Supracondylar fracture with a pulseless hand
Lateral condyle fracture in a child
Elbow dislocation with a trapped medial epicondyle
Displaced forearm fracture in a child
Missed Monteggia lesion at fracture clinic
The limping child
Unstable slipped upper femoral epiphysis
Toddler with a femoral fracture and safeguarding concerns
Triplane ankle fracture
Femoral shaft fracture
Acute osteomyelitis in a child
Open forearm fracture in a child
Shoulder dislocation with an axillary nerve injury
Four-part proximal humerus fracture in an older patient
Humeral shaft fracture with a radial nerve palsy
Suspected scaphoid fracture with normal X-rays
Perilunate dislocation with median nerve symptoms
Fight bite over the MCP joint
Displaced clavicle fracture with skin tenting
Displaced intracapsular hip fracture
Unstable extracapsular hip fracture
Bicondylar tibial plateau fracture
Tibial shaft fracture with compartment syndrome
Open tibial fracture
Ankle fracture-dislocation with skin at risk
Periprosthetic femoral fracture around a hip replacement
Pilon fracture
Calcaneal fracture after a fall from height
Missed Lisfranc injury
Acute Achilles tendon rupture
Knee dislocation with absent foot pulses
Patella fracture with extensor mechanism disruption
Unstable pelvic fracture with haemodynamic instability
Posterior wall acetabular fracture with hip dislocation
Suspected cauda equina syndrome
Cervical spine injury in an older patient after a fall
Thoracolumbar burst fracture
Polytrauma with head injury and femoral fracture
Fragility fracture of the pelvis in an older patient
02

Clinical - Elective

35 lessons

Painful hip replacement
Recurrent dislocation of a hip replacement
Stiff, painful knee replacement
Femoroacetabular impingement
Avascular necrosis of the femoral head
Medial knee osteoarthritis: osteotomy, partial or total replacement
Locked knee with a bucket-handle meniscal tear
ACL rupture in a footballer
Massive rotator cuff tear in a 70-year-old
Frozen shoulder
Recurrent shoulder instability with glenoid bone loss
Cubital tunnel syndrome
Distal biceps tendon rupture
Carpal tunnel syndrome
Dupuytren's contracture
Base of thumb arthritis
Flexor sheath infection
Diabetic foot ulcer with osteomyelitis
Hot swollen foot: acute Charcot or infection?
Symptomatic hallux valgus
Adult-acquired flatfoot
End-stage ankle arthritis
Lumbar disc prolapse with sciatica
Spinal stenosis or vascular claudication?
Discitis and epidural abscess
Late-presenting developmental dysplasia of the hip
Clubfoot and the Ponseti method
Perthes disease
Adolescent idiopathic scoliosis
Metastatic lesion with impending fracture
Bone lesion with sarcoma red flags
Fragility fracture and secondary prevention
Septic arthritis of the native knee
VTE prophylaxis after joint replacement
Anticoagulated patient listed for elective surgery
03

Commitment to Specialty

6 lessons

Motivation and insight
Operative experience
Commitment to Specialty: audit and quality improvement
Academia and evidence
Teaching, leadership and teamwork
Probity and insight
04

Prioritisation

15 lessons

Night on-call: six referrals at once
Planning tomorrow's trauma list
Weekend ward cover: who first?
Elective list with no beds
Fracture clinic overrun with an emergency call
Paediatric on-call: six children at once
Mid-operation with competing calls
Five referral calls at once
One theatre, two emergencies
A struggling junior
The in-tray
Major incident declared
Bank holiday weekend backlog
Ward round with competing priorities
A mixed day
05

Communication

20 lessons

Consent for hip fracture surgery with fluctuating capacity
Consent for knee replacement with unrealistic expectations
Consenting a parent for supracondylar fracture fixation
Patient refusing amputation for a mangled limb
Breaking bad news: an unexpected lytic lesion
Ceilings of care and resuscitation with a family
Explaining a prosthetic joint infection and two-stage revision
Duty of candour after a wrong-site block
Foot drop after knee replacement
Missed scaphoid fracture now a non-union
Retained swab found on X-ray
Operation cancelled on the day for the second time
Angry relative after a delayed hip fracture operation
Patient demanding an MRI that isn't indicated
Talking to a parent about a suspicious injury
Patient self-discharging against advice with a fracture
Jehovah's Witness declining blood before revision surgery
Junior colleague under the influence
Escalating a sick patient to an unreceptive anaesthetist
Explaining a plan to a GP who disagrees